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NPI Code Detail

MEDICARE: MISS MARILYN OLUFUNSHO FARINRE RPH., MBA

MEDICARE: MISS MARILYN OLUFUNSHO FARINRE RPH., MBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist40431TX

General Provider Information

NPI Number : 1598760399
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MARILYN OLUFUNSHO FARINRE RPH., MBA
Provider Business Mailing Address
First Line : 17522 CHESTNUT TRL
Second Line :
City : RICHMOND
State : TX
Zip : 77469-7594
Country : US
Telephone Number : 281-277-2715
Fax Number :
Provider Business Practice Location Address
First Line : LYNDON BAINES GENERAL HOSPITAL PHARMACY
Second Line : 5656 KELLEY STREET
City : HOUSTON
State : TX
Zip : 77026-1967
Country : US
Telephone Number : 713-566-5140
Fax Number : 713-566-5151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 07/08/2007

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